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Tell your doctor right away if you have any serious side effectsincludingnew/worsening vision problemse.gcolor or night vision problemsbone fracturereddish-colored urineurgent need to urinatepain while urinatingloss of appetiteyellowing eyes/skindark urinemental/mood changese.ghallucinationsconfusionseizureseasy bruising/bleedingsigns of infectione.gfeverpersistent sore throat

Check with your doctor right away if blurred visiondecreased visionor any other change in vision occurs while you are taking this medicineYour doctor may want you to have your eyes checked by an ophthalmologisteye doctor

Liver problemsupper stomach painvomitingtirednessloss of appetitedark urinejaundiceyellowing of the skin or eyesor.

Hyperglycemiahigh blood sugarmay occur if you do not take enough or skip a dose of your medicineovereat or do not follow your meal planhave a fever or infectionor do not exercise as much as usualHigh blood sugar can be very serious and must be treated right awayIt is important that you learn which symptoms you have in order to treat it quicklyTalk to your doctor about the best way to treat high blood sugar.

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of pioglitazone and glimepiride combination in the elderlyHoweverelderly patients are more likely to have hypoglycemia and age-related kidney problemswhich may require caution and an adjustment in the dose for patients receiving pioglitazone and glimepiride combination.

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